Cesarean
Birth in BC
Trends, Perspectives &
Future Strategies
A
Consensus Conference
The Morris
J. Wosk Centre for Dialogue - Vancouver, BC
January
24th, 25th and 26th, 2008
Jointly
sponsored by the Collaboration for Maternal & Newborn
Health (CMNH), the BC Ministry of Health, BC Women’s
Hospital and the BC Perinatal Health Program (BCPHP, formerly
the BC Reproductive Care Program).
Objectives of the conference:
- To present and disseminate
the report of the BC Perinatal Health Program Cesarean Birth
Task Force Report.
- To present and discuss evidence
regarding the trends, risks and benefits of cesarean birth.
- To present and discuss evidence
of how cesarean birth rates can be reduced.
- To discuss collaboration at
the local, regional, and provincial levels, to deliver optimal
maternity care for all women of British Columbia.
- To discuss a public information
strategy to assure that BC Women and their families have
the best possible information regarding reproductive and
maternity care.
- To reach a consensus on moving
toward the optimal use of cesarean birth in BC
A panel of 16 selected
experts in their fields listened to two days of presentations,
and dialogue with the audience. There were 6 obstetricians,
2 family physicians, 2 midwives, 2 nurses, 1 pediatrician,
1 anesthesiologist, 1 childbirth educator, and 1 consumer
(bios are at the end of the attached consensus statement).
The panel was then charged with answering the following questions:
1. Do we have an optimal
cesarean birth rate in British Columbia?
2. What are the roles
of caregivers in optimizing cesarean birth in British Columbia?
3. What support is required
from government, health authorities, hospitals and the BCPHP
to optimize the cesarean birth rate across British Columbia?
4. What is an appropriate
public education strategy regarding childbirth?
Please
click here
to see the draft Consensus Panel Statement
Presentations
from the conference can be viewed
by
clicking on the titles listed below
Program |
A CONSENSUS CONFERENCE
Cesarean
Birth
in BC
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Thursday January 24th |
| |
|
| 0830
0900
0930
1000
1045
1100
1130
1200
1300
1330
1400
1430
1515
1530
1600
1630
|
Welcome, Charge to Panel,
Overview
Liz Whynot – BCWH, Wendy Hill – Ministry
of Health, Karen Buhler – BC Perinatal Health
Program
BCPHP
Cesarean Birth Task Force Report
Jan Christilaw, obstetrician
Factors
Driving Up the Cesarean Birth Rate in Canada
Rob Liston, obstetrician
Active Engagement with Participants
Break
Modifiable
Factors Antepartum - Their Impact on Cesarean Birth
Andrew Kotaska, obstetrician
Modifiable
Factors Intrapartum - Their Impact on Cesarean Birth
Peter Von Dadelszen, obstetrician
Lunch (Provided)
Review
of Evidence on Maternal Risks & Benefits Associated
with Cesarean Birth
Deborah Money, obstetrician
Review
of Evidence on Newborn Risks & Benefits Associated
with Cesarean Birth
Paul Thiessen, pediatrician
Review
of Evidence on Strategies for Reducing the Cesarean
Birth Rate
Duncan Farquharson, obstetrician, on behalf of Sue Harris,
family physician
Active Engagement with Participants
Break
Discussing
Risk with Women
Lehe Elarar, midwife
Perceptions
of Risk and their Impact on Cesarean Birth
Ken Milne, obstetrician
Active Engagement with Participants |
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| Friday
January 25th |
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0830
0900
0930
1000
1030
1045
1115
1145
1215
1315
1345
1415
1445
1500
1530
1620 |
Impact
of Emerging Research on Obstetric Practice
Michael Klein, maternity care researcher
Challenges
of Remote and Rural Obstetrics
Shiraz Moola, obstetrician
Nursing
Management of Labour: a Supportive Care Approach
Isabelle Baribeau, nurse and Anne Shields, nurse
Cesarean
Birth by Maternal Request
Leanne Dahlgren, obstetrician
Break
Ethics
of Choice on Childbirth
Bethan Everett, ethicist
Financial
Implications of Childbirth
Craig Mitton, economist
Active Engagement with Participants
Lunch (Provided)
Evidence,
Practice, Identification and Change (EPIC): A Model for
Change
Patti Janssen, epidemiologist and Anne Synnes, pediatrician
Perceptions
of Birth: The Challenge of Public Education
Vicki Van Wagner, midwife
Provincial
Support for Optimal Outcomes
Brenda Wagner, obstetrician
Break
Moving Toward an Optimal Cesarean Birth Rate in BC
Rob Liston, obstetrician
Active Engagement with Participants
Charge to Panel
Lee Saxell, midwife
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